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Home My WebLink About716 21ST ST.BAK ENCROACHMENT PERMIT '� en CITY OF BAKERSFIELD ru- PUBLIC WORKS DEPARTMENT � 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (661) 326-3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 15-30000008 Date 3/20/15 Property Address. 716 21ST ST Application type description PW - ENCROACHMENT PERMIT Owaer Contractor ___________________ BALBOA ANA ROSA OWNER 2514 MOSS BRANCH SAN ANTONIO TX 78232 --------------------------------------------------------------------------- permit ENCROACHMENT PERMIT Additional deac , . Phone Access Code . 1609643 Permit Fee . . . _ 208.00 Team. Date . . . . 3/20/15 valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 Special Notes and Comments APPROVED WITH THE FOLLOWING CONDITIONS: w r.,ht h Wood panels with iron rails .round front of building for sitting 1. Minimum 4' clearance from any obstacles, e. Will be 6' behind curb. Will be (posts, etc) 31'afrom cornerwith c rner to corner with a gate t 2. Must provide a 6' clearance on the east side entrance and ee going back, Will be ma:. 41 tall. of building for sidewalk transition. 3. Wood panels must have a maximum 1" gap, see Francisco S Marcia c---- 467-4133 attachedicture. Fee summary Charged Paid Credited Oue Permit Fee Total 208.00 208.00 ApplicantraekrroMedges the fight®f the Gity.Engineer, 00 p pursuant to f e Bakersfield Municipal Code Chapter 12.20 to revoke the permit at a y ti e. UArlrlj ratio��ca Signature o ant (Owner/Agent) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED) Sai ermit shall expire on date stated above. Signature of City Eng...— Additional ngin Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)376-'1724 Fax: (661)852-2012 LOCATION OF ENCROACHMENT(Address required where available): IS— 3 'g If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT Ir tic etrnTn 11 11 Ani 1 C n,ieoa COMPLETE ADDRESS: }IC 7% PHONE: 4��Q 452:1343 FAX: CELL: /0/,1 gNl-'-113R PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): F L ®no 'Yeu r • TPrn tJ PERIOD OF TIME FOR ENCROACHMENT:NDEFINITE r OTHER: t�e) CONTACTPERSON iw+' c Iln+sr*, PHONE: (GI tire4134 Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the City, its officers agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever against them, or any of them, before administrative, quasi judicial, or -judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or property or right of way where the same is located, and restore said public property or right of way to the condition as nearly as that in which it was before the placing erection, maintenance or existence of said encroachment. Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force andeffect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $205.00 S\PERMIIS\ENCROACII\Itnemach-neI Petmit Req 170M, OC Sept 2013 B A K E R 6 F f E L D Public Works Department 1501 Twxlun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public fight -of -way. AT 2 I ey: a T yp f .1) SttCCI^Oiproposea encfonc nnenl l W(IEf4amC 1' q or "�16 phone /a/6 (Address or proposed enoroxchmem) 1.) Name: n Date: 3/1(? /•.S Address. 2.)Name: r Date®3 1-7IS Address: 3.) Name: Date Address: 4.) Name: Date. Address: 5) Name: Date: Address: 5.) Name: Date: Address: CERTIFICATE OF LIABILITY INSURANCE OATEUnMysND/is15 0311 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE. DOES NOT CONSTITUTE A CONTRACT BETWEEN. THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endoreed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights W the certificate holder in lieu of such endomement(s). PRooucsR John Cooper -State Farm Insurance State Farm 1400 Easton Dr suite 127 .Bakersfield, CA 93309 NAME°cTjohn Cooper 'HONE 661-637-1060 1 a Na;661-837-1065 a_ent coo ersinsuronc_e.com__ ADDRESS: 9 Q F _ _ —. INSUR _ INSURERA:Slate Fane General Insurance Company 25151 INSURED Francisco Javier Martin 1& Josue Ro9elio Sanchez DBA Nuestro Mexico Restaurant. 71621ST ST Bakersfield, CA 93301 INSURER a: INSUBERC: INSURER D.: INSURER E: INSURER F: CERTIFICATE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY. PAID CLAIMS. ILTE TYPEOFINSURANCE POLICY NUMBER POLICY EFF MMIOD POLICY EXP MOLICYEYY LIMBS A GEN COMMERCIAL GENERAL LABILITY .� CfAIMS-MAGE -G-E$S"36SC11 Y 03/11/2015 0311112016 EACH OCCURRENCE $ 1.000,000 PREMIS S Ee om,rtence 300,000 MED EXP (My one Person) $ 5,000 PERSONAL& ADV INJURY 1. 1,000,000 'L AGGREGATE LIMIT APPLIES PER: POLICY j PR0. _ iJECT LOC OTHER: GENERALAGGREGATE $ 2.000,000 PRODUCTS - COUHOP AGO $ _ $ AUTOMOBILE.mUTY _ MY ALTO ALLOWNED SCHEDULES AUTOS AUTs NON -OWNED HIRED AUTOS AUTOS COMBINED SINGL£ LIMIT Ea mtltlenll $ BODILY INJURY (Per orn S OGBILYMURY(Peroo ident) S PROPERTYCAMAGE LPereWEenl S _ 5 UMBRELLA LIAR EXCESS UAB OCCUR CLAIMSMADE FACH OCCURRENCE $ AGGREGATE S DEO I I RETENTIONS _ S. YIORRERS COMPENSATIONPEP ANDEMPLOYERS- NABIUTY Y)N ANY PROPRIETORIPARTNER,E%ECUTIVE IAPlMIMBIHR EXCLUDED? ❑NIA 1MWIT I nyes RIFTIORIPTIOeN OF OESCOF OPEMTIONG EeIow OTH- I STATUTE I leR E EACH ACCIDENT 5 E.L. DISEASE - BE EMPLOYE $ E.L. DISEASE -POLICY LIMIT -- E DESCRIPTION OF OPERATIONS LOCATONSI VEHICLES (ACORD 101, Adamonal Rom mas Schedule, may Oe ammNAI If mom creme In Ryulretl) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25(2014/01) The ACORD name and logo are ftist)<red marks of ACORD 1001486132849.902-04-2014 2 P. _a I� E R S F IE LID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 7, 2015 SUBJECT: Encroachment Permit Application for: 716 21" Street Name of Applicant. Francisco Martin Description of Encroachment: Wood panels with wrought iron rails around front of building for sitting area. Will be 6' behind curb. Will be 31' wide from comer to comer of building with a gate entrance and 9'4" going back. Will be max 4' tall. Please review the attached encroachment permit and return to me at your earliest convenience. q�13%Zo (s P,zjitA Cod oleate a� 00 SIBS �' cJ�1e ✓�'S`-�'`, (flr Sidec�l� %� SAPERMITS\ENCROACHTRAFFIM71821st Slaoc B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 7, 2015 SUBJECT: Encroachment Permit Application for: 71621"Street Name of Applicant: Francisco Martin Description of Encroachment: Wood panels with wrought iron rails around front of building for sitting area. Will be 6' behind curb. Will be 31' wide from corner to corner of building with a gate entrance and 94" going back. Will be max 4' tall. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S WERMITMENCROACMINSU"NCEV 16 21St SLdo